<{extends file='layout_uc.html'}>
<{block name='body'}>
<div class="uc_title m_10">
		<label><span><a href='index.php?m=UC_AccountLog'>交易记录</a></span></label>
		<label class="current"><span><a href='index.php?m=UC_Withdraw'>提现申请</a></span></label>
	</div>

	<div class="prompt m_10">
		<p>账户余额：<b class="orange f14">￥<{$blance}></b></p>
	</div>

	<div class="node">
            <!--
		<table class='list_table' width='100%' cellspacing='0' cellpadding='0'>
			<thead>
				<tr><th>会员备注</th><th>管理员备注</th><th>金额</th><th>申请时间</th><th>状态</th><th>操作</th></tr>
			</thead>

			<tbody></tbody>
			<tfoot>
				<tr><td colspan="6" class="t_l"><div class='pages_bar'><a href='index.php?m=UC_Withdraw&page=1' >首页</a><a href='index.php?m=UC_Withdraw&page=2' >尾页</a><span>当前第1页/共0页</span></div></td></tr>
			</tfoot>
		</table>
-->
		<div class="form_content">
                    <{if $check_pwd}>
                    <div class="tip">申请提现后，银行系统需要1-3个工作日自动校验您填写的开户行支行名称，如果填写不正确会被退款。
如果您不确定自己的开户行支行名称，建议您在填写前拨打银行卡背面的客服热线咨询。</div>
			<form action='index.php?m=UC_Withdraw' method='post' name='withdraw'>
				<table class="form_table mt_10" width="100%" cellpadding="0" cellspacing="0">
					<tr><th>银行帐号：</th><td>
							<input type="text" class="normal" name='BankCardID' pattern='required' alt='请填写银行卡卡号' />
							<label><span class='red'>*</span> 填写银行卡卡号</label>
						</td></tr>
					<tr><th>持卡人名字：</th><td>
							<input type="text" class="normal" name='name' pattern='required' alt='请填写真实的收款人姓名' />
							<label><span class='red'>*</span> 填写收款人真实的姓名</label>
						</td></tr>
					<tr><th>开户行：</th><td>
							<select name="BankName"><option value="工商银行" selected="selected">工商银行</option><option value="建设银行">建设银行</option><option value="招商银行">招商银行</option></select>
							<label><span class='red'>*</span> 选择开户银行</label>
						</td></tr>
					<tr><th>提现金额：</th><td>
							<input type="text" class="normal" name='amount' pattern='float' alt='填写体现金额' />
                                                        <label><span class='red'>*</span> [您的余额:<strong style='color:#F00; font-size:14px;'><{$blance}>元</strong>] 要提现的金额不得大于当前的账户余额</label>
						</td></tr>
					<tr><th>备注：</th><td>
							<textarea name='note' pattern='required' alt='填写一些必要的提现信息'></textarea><br />
							<label><span class='red'>*</span> 填写必要的提现信息，如开户银行，帐号等</label>
						</td></tr>
					<tr><th></th><td><label class="btn"><input type="submit" value="提交提现申请" /></label><label class="btn"><input type="reset" value="取消" /></label></td></tr>
				</table><input type="hidden" name="action" value="save" />                                
    
			</form>
                    <{else}>
                    <form method="post" action="#">
                        <div class="masker">
                            <p class="em">为了您的账户安全，请您输入二级密码后继续操作</p><p><input type="password" name="Password" class="normal" TextMode="Password" /><br /><label class="btn"><input type="submit" value="确定" /></label></p>
                        </div>
                        <input type="hidden" name="action" value="checkpwd" />
                    </form>
                    <{/if}>
		</div>

	</div>

<{/block}>